Individual
REBECCA KAY CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL TECHNOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
12758
WV
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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